Abdallah Altarshan, MD
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Evergreen Park, IL
NPI 1174582811 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1174582811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 036093254 (IL)
- Practice address
- 2955 W 95TH St
Evergreen Park, IL 60805-2409 - Phone
- (708) 422-0022
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Dupage Physician Group
Diabetes and Endocrine Care LTD
Practice addresses (Care Compare)
15300 W Ave
Suite 122
Orland Park, IL 60462-4508
Phone (708) 923-4400
2955 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 422-0022
Hospital & facility affiliations
- Palos Community Hospital
- Advocate Christ Hospital & Medical Center
- Osf Little Company of Mary Medical Center
- Northwestern Medicine Central Dupage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060111001056 | IL | Practitioner - Endocrinology |
2668449281 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes & Endocrine Care LTD | Endocrinology, Diabetes & Metabolism | Current |
Accepting new patients |
| Central Dupage Physician Group | Internal Medicine | Current |
Accepting new patients |
| Central Dupage Physician Group | Current |
Accepting new patients | |
| Hama Medical Group LTD | Internal Medicine | Current |
Accepting new patients |
| Loyola University Physician Foundation | Past | Accepting new patients | |
| St. Vincent Health Wellness and Preventive Care Institute, Inc. | Past | Accepting new patients | |
| Northern Indiana Emergency Physicians, LLP | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022
15300 West Ave
Ste 122
Orland Park, IL 60462
Phone (708) 226-2400
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFAHBA/Endpoint/AFAHBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036093254 | IL | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036093254 | IL | Yes |
Addresses
Primary practice location
2955 W 95TH St
Evergreen Park, IL 60805-2409
Mailing address
2955 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 422-0022
Other practice location 1
15300 West Ave Ste 122
Orland Park, IL 60462-4508
Phone (708) 403-8400
Other providers in Evergreen Park, IL
- Mary Alberts
- Aditra Allison Albright
- Constantine Alemis
- Alexander Reznikov, DDS, PC
- Samantha Louise Allen
- Alzein Medical LTD
- Hassan Alzein
- Am PM Home Healthcare Services LLC
- Amaris Counseling LLC
- Steven E Ambrose
All providers in Evergreen Park, IL · Endocrinology, Diabetes & Metabolism Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.